| NPI | 1558618892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008878) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3679-154) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2018-04-19 |