NPI | 1992003107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6595) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9847) |
Enumeration Date | 2011-03-11 |
Last Update Date | 2018-03-22 |