| NPI | 1720521339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 1389) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 254) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-12-02 |