| NPI | 1699045658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006539) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC 000076) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |