| NPI | 1003080755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 1290-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 5261) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |