| NPI | 1497395693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09346) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01818L) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010198) | |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2021-10-27 |