| NPI | 1053757237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC NCSLP-10331) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NM 5458) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2018-03-17 |