| NPI | 1992053227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 022100) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP001459) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007430) | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2021-12-30 |