NPI | 1376140178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 2103293) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV 2267) |
235Z00000X Speech-Language Pathologist, (Licence: FL 20298) | |
235Z00000X Speech-Language Pathologist, (Licence: VA 22020210386) | |
Enumeration Date | 2020-10-05 |
Last Update Date | 2023-06-08 |