| NPI | 1154559946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005940) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019211) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2018-04-03 |