| NPI | 1700296746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001107) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC SLP.5301 SLP) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2020-07-15 |