| NPI | 1508573981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000867) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02454L) |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2022-11-03 |