| NPI | 1326343120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06413) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 9775) |
| 235Z00000X Speech-Language Pathologist, (Licence: HI 1084) | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |