NPI | 1255817953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09150) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01691L) |
Enumeration Date | 2018-07-16 |
Last Update Date | 2020-12-30 |