| NPI | 1669647707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 12291) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 006155-1) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2013-07-18 |