| NPI | 1528133378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009464) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8458) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-04-19 |