| NPI | 1265754303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 3222) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2004028844) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 8316) | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-16 |