NPI | 1396089892 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009840) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001287) |
235Z00000X Speech-Language Pathologist, (Licence: MD 11444) | |
Enumeration Date | 2012-11-21 |
Last Update Date | 2025-05-30 |