| NPI | 1518285352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002165) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 6487) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |