| NPI | 1245389279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6914) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4240) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 19026) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-08-09 |