NPI | 1245079557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 11089) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001705) |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202011650) | |
Enumeration Date | 2024-05-24 |
Last Update Date | 2025-01-23 |