| NPI | 1861785214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0000104) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 34841) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 242.001848) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2015-02-20 |