| NPI | 1083851927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3591) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 12083093) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |