| NPI | 1467738211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1087) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 833) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |