| NPI | 1023399201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005498) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV 1305) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2018-12-27 |