| NPI | 1265564306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 4171) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-4001) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-03-07 |