| NPI | 1508254459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 3828) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 8348) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |