| NPI | 1174830434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006089) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV P/SLP-0498) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2018-08-27 |