NPI | 1689081028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 14990) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5464) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2016-10-31 |