| NPI | 1144256512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1802) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004204) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 9054) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2017-03-23 |