NPI | 1659571545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP 2297) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 8828) |
Enumeration Date | 2007-07-19 |
Last Update Date | 2018-03-29 |