| NPI | 1629261714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MO 2008025339) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 2007025063) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2016-11-03 |