| NPI | 1235117029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006384) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004879) |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 3715) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2010-05-05 |