| NPI | 1033387915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 505875) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 00696) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 2834) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |