| NPI | 1932597317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004584) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12691) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 0096071) | |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2018-09-12 |