NPI | 1578933289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14851) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012464) |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202008436) | |
Enumeration Date | 2015-10-07 |
Last Update Date | 2023-01-31 |