| NPI | 1306909718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 981) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 11473) |
| 235Z00000X Speech-Language Pathologist, (Licence: OH 10750) | |
| 235Z00000X Speech-Language Pathologist, (Licence: WY SP-702) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-10-23 |