| NPI | 1598915944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 0428781) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2008021058) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2018-02-08 |