| NPI | 1447663752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11061) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6020) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-07-21 |