NPI | 1164266276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011938) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204001409) |
Enumeration Date | 2024-06-24 |
Last Update Date | 2025-07-07 |