| NPI | 1114153624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07685) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4773) |
| 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000548) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006920) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2023-01-18 |