NPI | 1598098063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7264) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S3270) |
Enumeration Date | 2009-09-15 |
Last Update Date | 2014-10-23 |