NPI | 1144798224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009090) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 35605) |
235Z00000X Speech-Language Pathologist, (Licence: TX 115663) | |
235Z00000X Speech-Language Pathologist, (Licence: AK 172386) | |
Enumeration Date | 2018-11-07 |
Last Update Date | 2025-07-18 |