| NPI | 1801854112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR ASHA #12018076) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#1816) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-09 |