NPI | 1639628985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7847) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16104) |
Enumeration Date | 2016-09-28 |
Last Update Date | 2018-04-13 |