| NPI | 1568986420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14737) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008702) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2021-07-20 |