| NPI | 1588085708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005115) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA-5349) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |