| NPI | 1558726265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 124026) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007410) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2018-05-22 |