| NPI | 1033265988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13113) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 3665) |
| 235Z00000X Speech-Language Pathologist, (Licence: RI SP00518) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-02-22 |