| NPI | 1487851374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006861) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005297) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2012-04-25 |