| NPI | 1518399922 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: PR 03005) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 03005) | 
| Enumeration Date | 2013-08-07 | 
| Last Update Date | 2013-08-07 |