| NPI | 1073858510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007049) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP 1257) |
| 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000644) | |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2013-08-13 |