| NPI | 1447691639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10664) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005843) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2016-07-06 |