| NPI | 1003195637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4943) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6292) |
| Enumeration Date | 2011-08-14 |
| Last Update Date | 2015-03-17 |