| NPI | 1740782994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 14024065) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2203000449) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |