| NPI | 1932142577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 12062116) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8296) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-12-12 |