NPI | 1962961987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08808) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010428) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2023-07-26 |