| NPI | 1083964779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011927) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006452A) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 24801) | |
| 235Z00000X Speech-Language Pathologist, (Licence: OK 4270) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 113013) | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2017-04-25 |