| NPI | 1598198681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15064) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 1070) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL011501) | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |