| NPI | 1417999541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MO 00978) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: KS 2261) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |