NPI | 1093468308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012163) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 38107) |
235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01136200) | |
235Z00000X Speech-Language Pathologist, (Licence: PA SL015431) | |
Enumeration Date | 2022-01-27 |
Last Update Date | 2025-10-03 |