| NPI | 1811284847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MT 1294) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: KS 3141) |
| 235Z00000X Speech-Language Pathologist (Licence: ND 1158) | |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |