| NPI | 1144251190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1311) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 665) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8027) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-02-07 |