| NPI | 1568614535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AR 01-1E) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 0101E) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2012-03-19 |