| NPI | 1275728750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID 3936) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV 90) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2019-12-03 |