NPI | 1679892848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 3132) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105487) |
235Z00000X Speech-Language Pathologist, (Licence: AR SP#3132) | |
Enumeration Date | 2010-05-26 |
Last Update Date | 2019-02-14 |