NPI | 1598893000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-7299) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP829) |
235Z00000X Speech-Language Pathologist, (Licence: NM 2059) | |
Enumeration Date | 2007-02-28 |
Last Update Date | 2022-03-15 |