NPI | 1770994527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 016646) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 21701) |
Enumeration Date | 2014-05-14 |
Last Update Date | 2019-09-24 |