NPI | 1699198697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27605) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9429) |
235Z00000X Speech-Language Pathologist, (Licence: NY 023259-1) | |
Enumeration Date | 2014-01-27 |
Last Update Date | 2019-02-12 |