| NPI | 1205009370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05297) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005236) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2021-09-02 |