NPI | 1003322918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 1882) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008546) |
Enumeration Date | 2017-12-15 |
Last Update Date | 2024-02-19 |