| NPI | 1538408208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 9542) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 8118) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2015-06-16 |