NPI | 1467853556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 01053) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003676) |
235Z00000X Speech-Language Pathologist, (Licence: NC 8338) | |
235Z00000X Speech-Language Pathologist, (Licence: DC SLP000244) | |
Enumeration Date | 2014-09-09 |
Last Update Date | 2014-09-09 |