| NPI | 1972706778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MO 111765) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 111765) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2016-11-09 |