| NPI | 1083044101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AR SP#3408) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 114514) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |