| NPI | 1518366657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 15945) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005553) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008608) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2018-03-17 |