| NPI | 1144402801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV 1869) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007821) |
| 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0117252) | |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 5902) | |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2018-07-19 |