| NPI | 1376833228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 004875) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ5406) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA11514) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2017-04-13 |