NPI | 1922483981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000527) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07505) |
235Z00000X Speech-Language Pathologist, (Licence: VA 2202007301) | |
Enumeration Date | 2015-07-20 |
Last Update Date | 2015-07-20 |