| NPI | 1366713976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011008030) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0000055) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2014-01-03 |