| NPI | 1912310814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2014029351) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2013031749) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-08-18 |