| NPI | 1801189220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 220200698) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV P/SLP-0509) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2014-09-10 |