NPI | 1124399720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000645) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07166) |
Enumeration Date | 2012-01-13 |
Last Update Date | 2014-06-25 |