NPI | 1144709734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009240) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 13553) |
Enumeration Date | 2018-08-14 |
Last Update Date | 2019-08-23 |