| NPI | 1104177070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007325) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 20043) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2022-10-25 |