NPI | 1114132743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 04742) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004766) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2007-07-08 |