NPI | 1386201218 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14361) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000264) |
Enumeration Date | 2019-05-27 |
Last Update Date | 2024-03-06 |