| NPI | 1679516512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0175900) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 00932053 ASHA) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-09 |