| NPI | 1306080015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NM 4495) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CO .0002664) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2017-01-04 |