| NPI | 1407958945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12525) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA sl004662l) |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2018-03-17 |