| 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 |