NPI | 1598294225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08718) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01420L) |
Enumeration Date | 2017-06-06 |
Last Update Date | 2024-02-26 |