| NPI | 1235255522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3475) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 5731) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2015-10-06 |