| NPI | 1427582808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0000211) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 016220) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 76989) | |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2018-07-16 |