| NPI | 1194075580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 4044-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV 1465) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2016-01-21 |