| NPI | 1699196493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 4912) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2018-06-11 |