| NPI | 1295981637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: VT 015.0000817) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT Prof. Educator No #) |
| 235Z00000X Speech-Language Pathologist, (Licence: VT 12055168 - ASHA Cert) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0117563) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2022-08-07 |