| NPI | 1881008555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007519) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9222) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2018-04-02 |