| NPI | 1558763102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1281) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9220) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |