| NPI | 1972741791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3796-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 4469) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2014-01-14 |