| NPI | 1407277742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007077) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10612) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2023-03-10 |