NPI | 1720271810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005260) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2623) |
Enumeration Date | 2007-08-22 |
Last Update Date | 2022-06-29 |