NPI | 1124699889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10417) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000756) |
Enumeration Date | 2021-07-05 |
Last Update Date | 2022-12-29 |