| NPI | 1861627366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005417) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8193) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-07-17 |