| NPI | 1952651366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09090) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011014) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006862) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2021-11-01 |