| NPI | 1477633998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7608) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005023) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP7055) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-12-07 |