NPI | 1932348893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 17756) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 102313) |
Enumeration Date | 2009-02-16 |
Last Update Date | 2010-03-01 |