NPI | 1528395472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD SLP02060) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000277) |
Enumeration Date | 2009-11-13 |
Last Update Date | 2018-06-11 |