| NPI | 1932549136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010016) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10408) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2021-07-13 |