| NPI | 1467774257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 2980) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 06156) |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2013-06-07 |