| NPI | 1063792844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SD 085-SLP) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1146) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2015-05-28 |