| NPI | 1598123903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08377) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008098) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2017-01-19 |