NPI | 1952680530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11501) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5495) |
Enumeration Date | 2011-08-12 |
Last Update Date | 2012-04-24 |