| NPI | 1154557338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000138) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60083163) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2010-01-15 |