| NPI | 1053915389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 18610) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09534) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009703) | |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2020-12-24 |