NPI | 1326272345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2203000716) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7988) |
Enumeration Date | 2009-05-05 |
Last Update Date | 2018-03-17 |