NPI | 1649671231 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14153) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6883) |
Enumeration Date | 2014-09-15 |
Last Update Date | 2017-06-07 |