| NPI | 1275706905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11221) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5890) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2017-03-13 |