NPI | 1770776783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1065) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP38X) |
Enumeration Date | 2007-08-22 |
Last Update Date | 2009-02-04 |