NPI | 1700515244 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001343) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61237997) |
Enumeration Date | 2022-06-09 |
Last Update Date | 2022-06-09 |