NPI | 1518307750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 22-2004537) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC slp000143) |
Enumeration Date | 2013-07-02 |
Last Update Date | 2013-07-02 |