| NPI | 1114043155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 212) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 2350) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2024-06-18 |