| NPI | 1346556636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11764) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004599) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2020-10-28 |