| NPI | 1356692420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 0712L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006828) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2013-05-06 |