NPI | 1619011517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0000752) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL004511L) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2010-08-25 |