| NPI | 1770071474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2203000657) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07017) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |