| NPI | 1881808699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4482) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2366) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2009-07-20 |