| NPI | 1992934244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004736) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 4764) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |