| NPI | 1407181639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1099) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID 1442) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2012-08-21 |