| NPI | 1609189026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008418) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4691) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2022-05-10 |