| NPI | 1104132083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 4903) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-4738) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2018-08-07 |