| NPI | 1437577392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 11403) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009558) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2025-01-21 |