| NPI | 1598314593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MD 08235) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: VA 2202009103) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2020-05-15 |