| NPI | 1417197344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004915) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 4622) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-03-05 |