| NPI | 1336483700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NH 1212) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MA 7529) |
| Enumeration Date | 2012-11-25 |
| Last Update Date | 2012-11-25 |