| NPI | 1255507679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 1047) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22002037A) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |