NPI | 1730423112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 002139) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1238) |
235Z00000X Speech-Language Pathologist, (Licence: MA 5265) | |
235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00566800) | |
Enumeration Date | 2012-11-25 |
Last Update Date | 2012-11-25 |