| NPI | 1134561517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008746) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08284) |
| 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000845) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 109172) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2021-10-29 |