NPI | 1649468794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 30176) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 1047) |
235Z00000X Speech-Language Pathologist, | |
235Z00000X Speech-Language Pathologist, (Licence: TX 116741) | |
Enumeration Date | 2007-10-12 |
Last Update Date | 2021-07-21 |