NPI | 1790252161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 030824) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP200001214) |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202009899) | |
235Z00000X Speech-Language Pathologist, (Licence: MD 09702) | |
Enumeration Date | 2018-10-24 |
Last Update Date | 2024-05-10 |