| NPI | 1255638987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5249) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 12973) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2013-08-14 |