| NPI | 1801800602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 5607) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202000855) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |