| NPI | 1528201571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3424) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2381) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2012-10-24 |