NPI | 1609189026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008418) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4691) |
Enumeration Date | 2010-07-15 |
Last Update Date | 2022-05-10 |