| NPI | 1548543663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202011219) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9477) |
| Enumeration Date | 2011-09-25 |
| Last Update Date | 2024-04-22 |