| NPI | 1326213729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12029) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007014) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2016-10-17 |