| NPI | 1336433705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9506) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4310) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2017-10-21 |