| NPI | 1649554478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011025948) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 20-10024501) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2012-08-07 |