| NPI | 1235272154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MO 116968) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: KS 01850) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |