NPI | 1023426814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06722) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007331) |
Enumeration Date | 2014-07-24 |
Last Update Date | 2014-07-24 |