| NPI | 1740658996 |
|---|---|
| Former Name | VIVIAN DELORES BARRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.000944) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |