| NPI | 1861646143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005852) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009224) |
| 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000361) | |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2021-08-01 |