NPI | 1760503445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 3993) |
Additional Taxonomies | 174400000X Specialist (Licence: FL SA 3993) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2012-03-29 |