| NPI | 1790991842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 6282322449) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 1190) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2015-11-24 |