| NPI | 1962835314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 22022008022) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10386) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2017-11-29 |