| NPI | 1548695760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006070) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9577) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2020-10-13 |