| NPI | 1154678191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007901) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 022450) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2023-07-17 |