| NPI | 1871749317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 4717) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT 1190) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2013-07-12 |