| NPI | 1700177367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 3555) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 2451) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2015-06-02 |