NPI | 1750609749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0000819) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2977) |
Enumeration Date | 2010-05-14 |
Last Update Date | 2020-11-18 |