| NPI | 1144638883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10345) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005399) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP 18588) | |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2022-09-09 |