| NPI | 1730150186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003828) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 6794) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2023-07-18 |