| NPI | 1306146725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2004019689) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2811) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2010-11-01 |