NPI | 1639579766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 28636) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1370) |
235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-5948) | |
Enumeration Date | 2014-08-26 |
Last Update Date | 2020-06-02 |