| NPI | 1356369110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN SP 1066) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002545) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-01-11 |