| NPI | 1699282574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008863) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008723) |
| 235Z00000X Speech-Language Pathologist, (Licence: OH SP09386) | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-05-03 |