| NPI | 1245304401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 2956) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 4652) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2009-07-23 |