| NPI | 1235216748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4055) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 001986) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-01-08 |