| NPI | 1003181066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 072311) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA B66133487) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2024-10-15 |