| NPI | 1679842520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1236) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6727) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2015-12-23 |