NPI | 1922237973 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010613) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O4-0000265) |
Enumeration Date | 2009-07-13 |
Last Update Date | 2011-11-10 |