| NPI | 1881252872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 18868) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000233) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2021-10-21 |