| NPI | 1427403062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 4474-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2015027290) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2018-02-16 |