| NPI | 1861764961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12074) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 60262634) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 18726) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 07720) | |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2016-07-25 |