| NPI | 1194968552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9490) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL002027L) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2012-08-02 |