| NPI | 1053683458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: 01059047) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NE 1778) |
| 235Z00000X Speech-Language Pathologist (Licence: CO SLP0000023) | |
| 235Z00000X Speech-Language Pathologist (Licence: DE O1-0001603) | |
| 235Z00000X Speech-Language Pathologist (Licence: PA SL011063) | |
| 235Z00000X Speech-Language Pathologist (Licence: WY SP-664) | |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2019-02-08 |