NPI | 1578298899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011487) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000998) | |
Enumeration Date | 2022-07-20 |
Last Update Date | 2024-09-19 |