NPI | 1164869350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000245) |
Additional Taxonomies | 235500000X Specialist/Technologist (Licence: DC SLP000245) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2025-02-10 |