| NPI | 1902043763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ID SLP-1165) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: ID 01045106) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |