| NPI | 1760718555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11127) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010512) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005922) | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2019-10-23 |