| NPI | 1023207974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5482) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008622) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2016-12-12 |