| NPI | 1013367358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008222) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 13337) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2018-12-27 |