NPI | 1649554478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011025948) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 20-10024501) |
Enumeration Date | 2011-09-28 |
Last Update Date | 2012-08-07 |