| NPI | 1073835096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5495) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 12107042) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2017-03-06 |