| NPI | 1215061288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7713) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 3998) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-06-07 |