| NPI | 1710317144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP10907) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07248) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007215) | |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2023-11-30 |