NPI | 1629805684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011689) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0006073) |
235Z00000X Speech-Language Pathologist, (Licence: TX 111188) | |
Enumeration Date | 2024-09-16 |
Last Update Date | 2024-11-05 |