| NPI | 1861624439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202005612) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MD 05129) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |