| NPI | 1306974852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3742) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 006069) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-08 |