| NPI | 1164691564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: 01099984) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 4097) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |