| NPI | 1568508711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9433) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2852-154) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2018-08-31 |