| NPI | 1528440641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007825) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012354) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |