| NPI | 1114166147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8730) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 004049) |
| Enumeration Date | 2009-02-15 |
| Last Update Date | 2013-04-30 |