| NPI | 1144547100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 310511-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-1303) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2018-02-15 |