NPI | 1710350905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007973) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5577) |
Enumeration Date | 2015-11-10 |
Last Update Date | 2015-11-10 |