NPI | 1922478411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 2623) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5794) |
Enumeration Date | 2015-09-28 |
Last Update Date | 2015-09-28 |