| NPI | 1265749717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4731) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8288) |
| Enumeration Date | 2010-09-04 |
| Last Update Date | 2013-01-07 |