| NPI | 1750716379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006547) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1424) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2019-08-20 |