NPI | 1952551095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10046) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP013164) |
235Z00000X Speech-Language Pathologist, (Licence: PA SL009370) | |
Enumeration Date | 2008-09-25 |
Last Update Date | 2024-10-08 |