| NPI | 1639388242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MS S2907) |
| Additional Taxonomies | 225500000X Specialist/Technologist (Licence: MS S2907) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-05-17 |