| NPI | 1417078502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6875) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 1095) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2010-08-16 |