| NPI | 1659344992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7317) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ3248) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2008-10-08 |