| NPI | 1063811727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 974) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 8339) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2017-02-07 |