| NPI | 1043529837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 0697) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 3154) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |