| NPI | 1215240080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 3051) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6175) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2017-01-26 |