NPI | 1073858510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007049) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP 1257) |
235Z00000X Speech-Language Pathologist, (Licence: DC SLP000644) | |
Enumeration Date | 2012-12-11 |
Last Update Date | 2013-08-13 |