NPI | 1710280615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05194) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000378) |
Enumeration Date | 2010-12-15 |
Last Update Date | 2010-12-15 |