| NPI | 1992005714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8126) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005661) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |