| NPI | 1558593103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5447) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 4756) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2015-06-15 |