NPI | 1851899835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009393) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00708800) |
235Z00000X Speech-Language Pathologist, (Licence: MD 09570) | |
Enumeration Date | 2018-01-25 |
Last Update Date | 2025-04-28 |