| NPI | 1083222723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009469) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT 8816) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 14531) | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2023-10-24 |