NPI | 1720249287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 2797) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09141511) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2008-06-18 |