| NPI | 1508207051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5500) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6210) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2015-03-17 |