| NPI | 1508262361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3032) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 5445) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2015-04-10 |