| NPI | 1730597519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07641) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007202) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2021-06-16 |