| NPI | 1891939856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005072) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05280) |
| 235Z00000X Speech-Language Pathologist, (Licence: DC 12025382) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2016-10-31 |