| NPI | 1104075662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 1923 - 154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 1923-154) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |