NPI | 1548695760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006070) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9577) |
Enumeration Date | 2013-09-06 |
Last Update Date | 2020-10-13 |