| NPI | 1619162567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 256) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2011-03-21 |