NPI | 1861708273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP6794) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SL23899) |
Enumeration Date | 2010-08-23 |
Last Update Date | 2024-07-09 |