| NPI | 1073631685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 2884) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001887) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2010-08-13 |