| NPI | 1336491380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK SLPT78) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: AK 129) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2014-09-04 |