| NPI | 1366863821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1491) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 4244) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |