NPI | 1780725440 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003339A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 2040) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2007-07-08 |