| NPI | 1063582963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1638) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 5600) |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 2007024359) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-09-23 |