| NPI | 1518417807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000005713) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.010880) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA 60540452) | |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |