| NPI | 1164619839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 13357) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1997) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2018-11-27 |