| NPI | 1629437579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 5107) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007071) |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2016-02-21 |