| NPI | 1518289198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 12083868ASHA) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2753) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2018-10-10 |