| NPI | 1629482260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007966) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 6658) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2015-09-17 |