| NPI | 1386886828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 1910) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 0242) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2013-11-19 |