| NPI | 1184054611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 12047812) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 19753) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2015-08-21 |