| NPI | 1285916122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6004) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 5846) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2017-05-05 |