| NPI | 1043765340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL010739) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 4934) |
| 235Z00000X Speech-Language Pathologist (Licence: CA 19713) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |