| NPI | 1205881927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WI 1325154) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WI 1325-154) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-10-16 |