| NPI | 1326482274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 072250) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5932) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2014-07-15 |