| NPI | 1528340403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006943) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA sl009339) |
| 235Z00000X Speech-Language Pathologist, (Licence: OH sp9387) | |
| 235Z00000X Speech-Language Pathologist, (Licence: KY 3887) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 05930) | |
| 235Z00000X Speech-Language Pathologist, (Licence: WV slp-1268) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2019-09-24 |