| NPI | 1750683330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 3137) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3430-154) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2012-04-13 |