| NPI | 1174968432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10488) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07078) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2015-03-20 |