| NPI | 1366630121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 4138) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 26) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |