| NPI | 1689710501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004767) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008791) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-02-21 |