| NPI | 1679714596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003302) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 2202003302) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-08-11 |