NPI | 1780810374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5528) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 104277) |
235Z00000X Speech-Language Pathologist, (Licence: CA 17593) | |
Enumeration Date | 2009-06-09 |
Last Update Date | 2015-02-22 |