| NPI | 1891976163 |
|---|---|
| Former Name | CARRIE ELIZABETH LOPEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008058) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1660) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2019-09-10 |