NPI | 1942266093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP1770) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 5392) |
Enumeration Date | 2006-04-25 |
Last Update Date | 2025-05-27 |