| NPI | 1801146097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012034062) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011032712) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2016-11-03 |