| NPI | 1366721516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MO 116764) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 0455637) |
| 235Z00000X Speech-Language Pathologist (Licence: MO 12008644) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |