| NPI | 1427439496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 04-0000459) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010565) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2022-09-20 |