NPI | 1922490374 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 8050884) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 8522) |
Enumeration Date | 2015-02-23 |
Last Update Date | 2015-02-23 |