| NPI | 1073640843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7944) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 3893) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2019-07-18 |