NPI | 1093607707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012078) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 6660-154) |
235Z00000X Speech-Language Pathologist, (Licence: PA SL018690) | |
Enumeration Date | 2025-07-17 |
Last Update Date | 2025-08-11 |