NPI | 1316535388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009799) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001445) |
Enumeration Date | 2021-01-06 |
Last Update Date | 2021-07-07 |