NPI | 1699172940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 518290) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 474968) |
235Z00000X Speech-Language Pathologist, (Licence: MN 9145) | |
235Z00000X Speech-Language Pathologist, (Licence: CO 0001949) | |
Enumeration Date | 2014-12-02 |
Last Update Date | 2022-04-13 |