| NPI | 1184840308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA slp008593) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 016472) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 7687) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-03-03 |