| NPI | 1780196212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008797) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 3047) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 08430) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |