NPI | 1255823761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 03064401) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000108) |
235Z00000X Speech-Language Pathologist, (Licence: MD 01670L) | |
235Z00000X Speech-Language Pathologist, (Licence: DC SLPCF000005) | |
Enumeration Date | 2018-05-31 |
Last Update Date | 2021-09-22 |