| NPI | 1043696578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134488) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009142) |
| 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134473TELE) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 026084) | |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2022-06-30 |