| NPI | 1609117480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0001839) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11690) |
| 235Z00000X Speech-Language Pathologist, (Licence: HI SP-1285) | |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2015-03-04 |