| NPI | 1043657752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 4029) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8682) |
| 235Z00000X Speech-Language Pathologist, (Licence: WI 3283-154) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2018-11-16 |