| NPI | 1467646828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06562) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 001786) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2011-04-01 |