| NPI | 1174661912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP4734) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLPL 4734) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2010-07-06 |