| NPI | 1033632476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134044) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0122531-PROV) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2022-07-19 |