| NPI | 1104290832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA LL 60445162) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 11065) |
| 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00823900) | |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |