| NPI | 1285016121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 14146770) |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2018-03-27 |