| NPI | 1174955223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 023789) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60339500) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2015-06-12 |