| NPI | 1184789208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 596) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P2308) |
| 225X00000X Occupational Therapist (Licence: NC 11663) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2018-07-06 |