| NPI | 1104908920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3661) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#1342) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2015-06-24 |