| NPI | 1396089934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8787) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007677) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2020-03-16 |