| NPI | 1790031706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1031) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 01533) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |