NPI | 1942506100 |
---|---|
Former Name | MEGAN REILLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006149) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000291) |
Enumeration Date | 2011-02-07 |
Last Update Date | 2016-03-30 |