| NPI | 1154638823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005860) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10608) |
| 222Q00000X Developmental Therapist (Licence: FL SA10608) | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2014-07-21 |