NPI | 1831642263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 24961) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111815) |
Enumeration Date | 2016-08-02 |
Last Update Date | 2017-02-25 |