| NPI | 1639226376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AR 621) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AR 01089436) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |