NPI | 1881741304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008680) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09968) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2021-09-29 |