| NPI | 1245823939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2203000386) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009863) |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2021-03-05 |