NPI | 1760163539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204001203) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLPCF2000063) |
Enumeration Date | 2023-07-26 |
Last Update Date | 2023-07-26 |