| NPI | 1396105706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15527) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 8610) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 22294) | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |