NPI | 1861785214 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0000104) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 34841) |
235Z00000X Speech-Language Pathologist, (Licence: IL 242.001848) | |
Enumeration Date | 2011-05-18 |
Last Update Date | 2015-02-20 |