| NPI | 1184793010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 1255) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OK 2327) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2014-09-26 |