| NPI | 1306240981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202000541) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN SP 0000000325) |
| 235Z00000X Speech-Language Pathologist, (Licence: IA 074463) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 110728) | |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |