| NPI | 1285289454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009815) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000350) |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2021-01-19 |