| NPI | 1245476548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8668) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 003843) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2013-02-19 |