NPI | 1487968848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005945) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000360) |
235Z00000X Speech-Language Pathologist, (Licence: MD 06467) | |
Enumeration Date | 2010-07-27 |
Last Update Date | 2016-11-28 |