NPI | 1992030654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 20726) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA SI 60110325) |
Enumeration Date | 2009-10-13 |
Last Update Date | 2014-01-23 |