NPI | 1184193237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05497) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC 000596) |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202005033) | |
Enumeration Date | 2018-11-19 |
Last Update Date | 2018-11-19 |