| NPI | 1134522543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ID SLP-1178) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OR 13567) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |