| NPI | 1376168062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134350) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134256-PROV) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2022-06-22 |