NPI | 1275978363 |
---|---|
Former Name | LISA ZIPIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006716) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 03637) |
Enumeration Date | 2013-05-03 |
Last Update Date | 2021-07-23 |