| NPI | 1962783688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 351565294) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: SC 4296) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |