NPI | 1528133378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009464) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8458) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2021-04-19 |