NPI | 1982002424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2014036850) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2014-12-16 |
Last Update Date | 2020-10-16 |