NPI | 1215673124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202010514) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: DC SLP000027) |
Enumeration Date | 2022-05-12 |
Last Update Date | 2022-08-07 |