| NPI | 1508069337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005059) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1095) |
| 235Z00000X Speech-Language Pathologist, (Licence: 12100992) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-10-29 |