| NPI | 1619206695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 18212) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009869) |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 2009020455) | |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 3055) | |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2011-07-31 |