| NPI | 1386079069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11084) |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 6809) | |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2019-04-08 |