| NPI | 1083803365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLPL5668) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ 3941771) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |