| NPI | 1770993354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202007284) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WV 0594) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2017-07-31 |