| NPI | 1508957937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6112) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 7084) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2009-11-10 |