| NPI | 1104027622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7686) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003815) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |