| NPI | 1679731137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1746) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2826) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2016-10-14 |