| NPI | 1902031552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05649) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 5117111-4102) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |