| NPI | 1023441722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11315) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA sl009257) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2015-07-09 |