NPI | 1750062071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011372) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204001223) |
Enumeration Date | 2023-07-28 |
Last Update Date | 2024-12-17 |