| NPI | 1316185796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS 12096617) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S3242) |
| 235Z00000X Speech-Language Pathologist, (Licence: MS 199291) | |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |