| NPI | 1033232657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL S2885) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S2403) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2012-07-05 |