NPI | 1467744904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000223) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006201) |
235Z00000X Speech-Language Pathologist, (Licence: 12128901) | |
Enumeration Date | 2011-05-03 |
Last Update Date | 2013-08-29 |