| NPI | 1295950285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005319) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL000348L) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-04-09 |