| NPI | 1124452016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08180) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2013030776) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2016-07-05 |