| NPI | 1952606428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1486) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4167) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2017-07-11 |