NPI | 1245763598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007575) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008094) |
Enumeration Date | 2017-04-04 |
Last Update Date | 2017-04-04 |