| NPI | 1821179680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 220200503) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008400) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-08-30 |