| NPI | 1043491350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003185) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP06-08) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2015-07-28 |