| NPI | 1306112768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1454) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 002212) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |