| NPI | 1730783267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009740) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL Sa314) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |