| NPI | 1508918277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1018) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 6227) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-09-25 |