NPI | 1992285829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27732) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 13198) |
235Z00000X Speech-Language Pathologist, (Licence: MN 9938) | |
Enumeration Date | 2018-08-20 |
Last Update Date | 2018-12-07 |