| NPI | 1275787152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7028) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009003) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2013-10-02 |