| NPI | 1598047573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009350) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 017097) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2022-05-13 |