| NPI | 1285872861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007141) |
| 235Z00000X Speech-Language Pathologist, (Licence: OH SP.9543) | |
| 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000738) | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2020-03-09 |