| NPI | 1669827333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1931) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 495) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2017-06-08 |