| NPI | 1194996074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000443) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2020-05-15 |