| NPI | 1669814935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009249) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP8147) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 25561) | |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2020-07-31 |