| NPI | 1922409085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010740) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007577) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2021-05-12 |