| NPI | 1053866814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0123230) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP18553) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2017-04-13 |