| NPI | 1316254600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 2857) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 001866) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |