| NPI | 1124568167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3742) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 14040870) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |