| NPI | 1831397850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4820) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 07056) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2011-03-06 |