| NPI | 1871041137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IA 01291) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WI 4364-154) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2018-07-17 |