NPI | 1730578147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101005707) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4066-154) |
Enumeration Date | 2015-01-22 |
Last Update Date | 2018-03-17 |