| NPI | 1477683753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 5008) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 12061668) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |