NPI | 1386271401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09343) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006912) |
Enumeration Date | 2020-03-26 |
Last Update Date | 2023-11-27 |