| NPI | 1275077463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15849) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1470) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |