| NPI | 1134148943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 12044819) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 3486) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-03-04 |