| NPI | 1710323951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006182) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07167) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2014-04-16 |