| NPI | 1548416530 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4444) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7486) | 
| Enumeration Date | 2008-08-11 | 
| Last Update Date | 2009-03-28 |