| NPI | 1003103144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7335) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 2915) |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 4795) | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |