| NPI | 1003230475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006003) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4084) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2020-10-09 |