| NPI | 1669827648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3999) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 6243) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |