| NPI | 1285065565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 8051732) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ASHA) |
| 235Z00000X Speech-Language Pathologist, (Licence: 12017687) | |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2014-02-23 |