| NPI | 1811023328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005948) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 6153) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-07-26 |