NPI | 1972161396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010111) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003238) |
235Z00000X Speech-Language Pathologist, (Licence: CA 27523) | |
235Z00000X Speech-Language Pathologist, (Licence: AK 146856) | |
Enumeration Date | 2019-05-31 |
Last Update Date | 2019-06-03 |