| NPI | 1376795484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202004562) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MD 05259) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |