NPI | 1982832051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10308) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4618) |
Enumeration Date | 2009-06-29 |
Last Update Date | 2014-02-18 |