| NPI | 1366895526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12473) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 0) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2018-08-14 |