| NPI | 1558512707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007290) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009808) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2021-12-07 |