| NPI | 1194813188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 4885) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 12069052) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2009-07-30 |