| NPI | 1285912204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 20735) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS s3598) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 06878) | |
| 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000582) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA12159) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2013-10-09 |