| NPI | 1639390180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 002403) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2005019579) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2013-10-29 |