| NPI | 1285789842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2004010704) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 8209) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-12-07 |