| NPI | 1962454496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004090) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 1003550) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 1124) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-05-27 |