| NPI | 1669760229 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006384) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4110) | 
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA10497) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-07-18 | 
| Last Update Date | 2011-07-18 |