NPI | 1760867691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9515) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP9515) |
Enumeration Date | 2015-07-21 |
Last Update Date | 2016-08-15 |