| NPI | 1447504329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006829) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9021) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2014-07-17 |