| NPI | 1497033757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005863) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005463) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2012-03-29 |