| NPI | 1992013486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60247561) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 021200) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2012-06-20 |