| NPI | 1104971175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1438) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004448) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2011-01-18 |