| NPI | 1205967114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP# 2166) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 2166) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-10-13 |