NPI | 1598814097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 1652) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 12026665) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2007-07-08 |