NPI | 1245967793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14405984) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001357) |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202010399) | |
Enumeration Date | 2022-08-04 |
Last Update Date | 2022-08-04 |