| NPI | 1720206956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3901) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7902) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-07-28 |