NPI | 1578899787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001425) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242001415) |
Enumeration Date | 2009-10-22 |
Last Update Date | 2013-08-09 |