| NPI | 1235257155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 2928) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S3392) |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 5834) | |
| 235Z00000X Speech-Language Pathologist, (Licence: WI 2474154) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-07-13 |