NPI | 1235972928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011457) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 11035) |
Enumeration Date | 2024-06-18 |
Last Update Date | 2024-06-18 |