NPI | 1851798102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11171) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000654) |
Enumeration Date | 2014-12-02 |
Last Update Date | 2015-04-13 |