| NPI | 1114080900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 4626) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 6404) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2010-08-26 |