| NPI | 1245569094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 2850) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS s3744) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA slp008748) | |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2014-12-05 |