| NPI | 1013095934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006545) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 9434) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-04-12 |