NPI | 1184018343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000873) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05458) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2015-03-26 |