NPI | 1972790533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 0081107502) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 00841) |
Enumeration Date | 2007-09-27 |
Last Update Date | 2007-09-27 |