| NPI | 1316353113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 075179) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9278) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-08-26 |