| NPI | 1023200482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4787) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7699) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2012-09-20 |