| NPI | 1356969851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000321) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010832) |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-09-08 |