| NPI | 1912201237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002584) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 235Z00000X Speech-Language Pathologist, (Licence: 01105990) | |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2024-10-21 |