| NPI | 1962504662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5292) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5247) |
| 235Z00000X Speech-Language Pathologist, (Licence: HI SP-1568) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2016-08-02 |