NPI | 1962783688 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 351565294) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4296) |
Enumeration Date | 2011-09-08 |
Last Update Date | 2011-09-08 |