NPI | 1598986838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14624) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08948) |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202004322) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2025-02-26 |