| NPI | 1215110275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004684) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: VA 2202004684) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2024-07-03 |