| NPI | 1336696715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0115520) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 8034843) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |