NPI | 1912153446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21975) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP5956) |
235Z00000X Speech-Language Pathologist, (Licence: GA slp007374) | |
Enumeration Date | 2008-08-15 |
Last Update Date | 2015-09-02 |