| NPI | 1154637098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8820) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005663) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-31 |