| NPI | 1649474537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3285) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2967) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2010-03-09 |