| NPI | 1417312141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15004) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006558) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP012723) | |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2024-09-04 |