| NPI | 1174777171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 4366) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 7860) |
| 235Z00000X Speech-Language Pathologist (Licence: NY 016317-1) | |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |