NPI | 1629740279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001280) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 7346) |
Enumeration Date | 2021-10-01 |
Last Update Date | 2022-12-22 |