| NPI | 1649541764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 002324) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 0383470) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2013-09-10 |