| NPI | 1396042172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ASHA#12117396) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 12943) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-12-22 |