| NPI | 1609034149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 4164458) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6233) |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2010-12-06 |