| NPI | 1205102399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 8784) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: SC 4686) |
| 235Z00000X Speech-Language Pathologist (Licence: GA 7441) | |
| 235Z00000X Speech-Language Pathologist (Licence: KY 3436) | |
| 235Z00000X Speech-Language Pathologist (Licence: VA 2202006564) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |