| NPI | 1235426099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15438) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6141) |
| 235Z00000X Speech-Language Pathologist, (Licence: UT 87631074102) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2014-12-18 |