| NPI | 1083140776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7460) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008340) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 13202) | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2021-12-02 |