NPI | 1912640509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 02352L) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 10228) |
Enumeration Date | 2022-04-20 |
Last Update Date | 2024-11-11 |