NPI | 1740606979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000399) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05977) |
Enumeration Date | 2014-03-12 |
Last Update Date | 2014-03-12 |