NPI | 1669028577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009762) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 121003) |
235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001194) | |
Enumeration Date | 2019-08-15 |
Last Update Date | 2025-01-09 |