| NPI | 1003162124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10100) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4950) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |