NPI | 1346731940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0006370) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08138) |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202008901) | |
Enumeration Date | 2018-05-20 |
Last Update Date | 2025-08-11 |