NPI | 1437410453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000779) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006649) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2016-06-28 |