| NPI | 1154468692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7758) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 002607) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 0150801) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-03-31 |