| NPI | 1982877965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10143) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 2298) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2012-10-26 |