| NPI | 1528201928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15756) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005522) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 020875) | |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2017-04-05 |