| NPI | 1356524383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3866) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7375) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 146.009022) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |