NPI | 1609292721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC 000824) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06119) |
Enumeration Date | 2014-03-13 |
Last Update Date | 2024-02-13 |