| NPI | 1114132743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 04742) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004766) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-07-08 |