| NPI | 1275819898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC 000496) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9401) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |