| NPI | 1154678563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006975) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 21608) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 021835) | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2019-11-12 |