NPI | 1932496601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16146) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 104774) |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202007477) | |
Enumeration Date | 2011-07-01 |
Last Update Date | 2018-06-04 |