NPI | 1306242243 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001221) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08902) |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202008834) | |
Enumeration Date | 2014-11-04 |
Last Update Date | 2022-06-02 |