| NPI | 1346427499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 00642306) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO #27) |
| 174400000X Specialist (Licence: CO E1220) | |
| 235Z00000X Speech-Language Pathologist, (Licence: HI SP-434) | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |