| NPI | 1306018114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 8076) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL008639) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2011-05-27 |