NPI | 1831407766 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7253) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 3995) |
Enumeration Date | 2010-09-14 |
Last Update Date | 2011-12-13 |