| NPI | 1699900050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005660) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8463) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |