| NPI | 1225160963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 04956) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002799) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |