NPI | 1962891655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2005020459) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2722) |
Enumeration Date | 2015-01-18 |
Last Update Date | 2015-01-18 |