NPI | 1396435996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30004278) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 119787) |
235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001738) | |
Enumeration Date | 2023-05-09 |
Last Update Date | 2025-07-14 |