| NPI | 1992136188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10297) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007244) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2022-08-31 |