| NPI | 1285806638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 707) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2012-05-11 |