| NPI | 1619503851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 02698) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV 2024) |
| 235Z00000X Speech-Language Pathologist, (Licence: NH 1203) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 3797) | |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |