| NPI | 1801006077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9064) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7359) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-05-14 |