| NPI | 1538448253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5512) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2995) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2015-07-17 |