NPI | 1699256081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3362) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 007378) |
Enumeration Date | 2018-08-24 |
Last Update Date | 2018-09-03 |