| NPI | 1093811507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 02546) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002141) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |