| NPI | 1184990335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007232) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9599) |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2024-04-11 |