| NPI | 1508102484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08081) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006163) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2019-07-26 |