| NPI | 1225472665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 6171) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 1211321) |
| Enumeration Date | 2013-04-27 |
| Last Update Date | 2013-04-27 |