| NPI | 1306298682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0003121) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9270) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2018-05-15 |