| NPI | 1124487483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008059) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC 000984) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 07633) | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |