| NPI | 1750782835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007109) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02732) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |