| NPI | 1053786582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AK SLPS7) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: HI 1479) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |