| NPI | 1902020001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S2962) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6077) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-06-04 |