| NPI | 1396932976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2010026620) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2535) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2011-02-08 |