| NPI | 1205052370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP 4445) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA SP 12399) |
| 235Z00000X Speech-Language Pathologist (Licence: HI SLP 896) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-09 |