| NPI | 1255303046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 3098) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NM 1510) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2013-08-23 |