| NPI | 1366028011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10200) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000529) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2022-05-31 |