| NPI | 1033557681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MA 9018) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 19238) |
| 235Z00000X Speech-Language Pathologist (Licence: PA SL011372) | |
| 235Z00000X Speech-Language Pathologist (Licence: MD 07193) | |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2017-10-31 |