NPI | 1255086773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP16062) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010766) |
Enumeration Date | 2022-02-14 |
Last Update Date | 2025-04-28 |