NPI | 1699918748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 597) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 2171) |
Enumeration Date | 2009-04-18 |
Last Update Date | 2009-04-18 |