| NPI | 1154756021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8083) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA sl009492) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 21235) | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |