| NPI | 1588773618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 4034) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001953) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-30 |