| NPI | 1164705109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07340) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4922) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2013-09-11 |