| NPI | 1770776783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1065) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP38X) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2009-02-04 |