| NPI | 1922152701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10141) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 1114) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-01-16 |