NPI | 1588354641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011324) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204001124) |
Enumeration Date | 2023-05-11 |
Last Update Date | 2024-08-20 |