| NPI | 1174679310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 01930) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 106) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2007-07-09 |