NPI | 1700362969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1643) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 10086) |
Enumeration Date | 2018-07-11 |
Last Update Date | 2018-07-11 |