NPI | 1992863773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP1746) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE 010000928) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2007-07-23 |