| NPI | 1922535905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13749) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008562) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2019-07-31 |