| NPI | 1093908212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1055) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 001805) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |