| NPI | 1013318484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 12124611) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 004149) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |