NPI | 1740408954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 12093305) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 2055) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2007-07-08 |