NPI | 1679816540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL014796) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 2013008763) |
Enumeration Date | 2013-03-29 |
Last Update Date | 2020-05-05 |