| NPI | 1194013284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004751) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL004095) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 007838) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |