| NPI | 1871937052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2013045568) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012041760) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2018-09-05 |