| NPI | 1962654004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007617) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2715) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2015-01-14 |