| NPI | 1588946743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 3056) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6143) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |