NPI | 1518743434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011791) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204001256) |
Enumeration Date | 2023-09-06 |
Last Update Date | 2025-02-20 |