| NPI | 1831407550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005844) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 16079) |
| 235Z00000X Speech-Language Pathologist, (Licence: HI 1254) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2012-11-01 |