| NPI | 1689063737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 11089) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: SC 5519) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |