| NPI | 1295859981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 7262) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008772) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2009-07-21 |