| NPI | 1417008939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 4205) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 11375) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2013-08-06 |