NPI | 1023629904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09766) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02054L) |
Enumeration Date | 2020-08-13 |
Last Update Date | 2021-10-27 |