| NPI | 1174946040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 5212) |
| Additional Taxonomies | 235500000X Specialist/Technologist |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2015-08-05 |