| NPI | 1518250059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR sp#3120) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR APPLIED) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2018-08-08 |