NPI | 1629115548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00002280) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 013974-1) |
235Z00000X Speech-Language Pathologist, (Licence: FL SA15050) | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2023-12-06 |