| NPI | 1174241962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011729) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 7999) |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01163200) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA23019) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MA SLP101292) | |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2024-12-10 |