NPI | 1265575278 |
---|---|
Professional Name | SUSAN MARIE LOPEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001904) |
Additional Taxonomies | 231H00000X Audiologist (Licence: VA 2201000442) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2025-09-17 |