| NPI | 1770729451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011020915) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 01683) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2011-09-02 |