NPI | 1902138845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP29941) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP6893) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2022-09-28 |