| NPI | 1679612469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6869) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3082) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-10-27 |