NPI | 1871103051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202009991) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: VA 2204000546) |
Enumeration Date | 2020-08-03 |
Last Update Date | 2021-07-07 |