| NPI | 1285867937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP 6735) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA SLP001305) |
| 235Z00000X Speech-Language Pathologist (Licence: TX 105690) | |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2011-12-20 |