NPI | 1629487350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000805) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05483) |
Enumeration Date | 2014-08-06 |
Last Update Date | 2014-08-06 |