| NPI | 1235300153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 6428) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI sp-599) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2010-01-04 |