| NPI | 1891053468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 577) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 01042) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2016-09-29 |