NPI | 1023231495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 011277) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09277) |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202005639) | |
Enumeration Date | 2007-04-11 |
Last Update Date | 2019-11-09 |