| NPI | 1003833914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 119636) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3062) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2010-05-28 |