| NPI | 1447496492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008913) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9342) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2018-06-04 |