| NPI | 1598021859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07012) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SLP000584) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006772) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2021-08-18 |