| NPI | 1578899787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001425) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242001415) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2013-08-09 |