| NPI | 1083645600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NE 777) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IA 1165) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |