| NPI | 1972732105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005801) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 12119407) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2018-04-24 |