| NPI | 1851738280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 003560) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101004881) |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 015510) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 24154) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 015546) | |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2018-05-19 |