| NPI | 1972763035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO .0001710) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8345) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2015-11-17 |