| NPI | 1003018318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 6680) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8276) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2012-01-14 |