| NPI | 1083040836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6302) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 258827) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2019-05-28 |