| NPI | 1033410089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000921) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60187322) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2013-09-11 |