| NPI | 1972645737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2008028005) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2819) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2012-10-24 |