NPI | 1962534545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 003066-1) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8629) |
Enumeration Date | 2007-03-10 |
Last Update Date | 2014-07-17 |