| NPI | 1750637047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-2204) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006278) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |