| NPI | 1003964537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005330) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 5843) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-07-01 |