| NPI | 1104034974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP9634) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103908) |
| 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12890) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NH 1853) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-09-13 |