| NPI | 1104088236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 4446) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08869) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2019-06-17 |