| NPI | 1164587218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 113987) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 1608) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-09 |