| NPI | 1114067626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003160) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7112) |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 2293) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007149) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2011-05-19 |