NPI | 1649639584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007209) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2016-02-21 |
Last Update Date | 2016-09-16 |