| NPI | 1144617127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 3039) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PR 1532) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2018-06-16 |