| NPI | 1720276512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2006000805) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MO 2006000805) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |