| NPI | 1790707792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 06891) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7054) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-04-03 |