| NPI | 1134379936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8389) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 10239) |
| 235Z00000X Speech-Language Pathologist, (Licence: RI sp01106) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2020-04-20 |