| NPI | 1093045312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008095) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 105346) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2016-09-13 |