NPI | 1720386246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11816) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5358) |
Enumeration Date | 2011-03-08 |
Last Update Date | 2012-09-10 |