NPI | 1952837940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 12787) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60413449) |
235Z00000X Speech-Language Pathologist, (Licence: CA 25567) | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |