NPI | 1942796115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1656) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9680) |
Enumeration Date | 2018-07-10 |
Last Update Date | 2018-07-10 |