| NPI | 1932327509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP 7976) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2502) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2012-12-26 |