| NPI | 1053445718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005451) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05696) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-09-21 |