NPI | 1730202839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006630) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4245) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2009-12-18 |