| NPI | 1164424883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202-003368) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 03053) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2010-10-23 |