| 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 |