| NPI | 1013122373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 6 208592) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 00666008) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |