| NPI | 1013073410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME ME257071) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006489) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2010-05-19 |