NPI | 1851752422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 28382) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12056) |
235Z00000X Speech-Language Pathologist, (Licence: NY 023002) | |
Enumeration Date | 2016-03-10 |
Last Update Date | 2019-03-29 |