| NPI | 1154679850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202012278) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO MSSLP.0000002) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL sa11464) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2026-09-24 |