| NPI | 1003976226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 389-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 42577600) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-09 |