| NPI | 1821374919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 889) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 001828) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |